Call today
Carlisle 717.245-0400
Mechanicsburg 717.697-6600
CM
CARDIN & MILLER
P H Y SIC A L THER A PY
Home Exercise Program
Start with this exercise sequence to reverse muscle imbalances that cause neck pain and headaches
1.
Shoulder
Shrug
1.
Shrug
2.
Pinch
Shoulder
Blades
HOW IT’S DONE:
1. Stand with upright
neutral posture.
2. Shrug your shoulders
half way up toward
your ears.
3. Do NOT shrug your
shoulders as far up as
they will go.
4. If you have pain, stop
the exercise.
1.
Shrug
2.
Pinch Back
3.
Tuck Chin to
Neck
HOW IT’S DONE:
HOW IT’S DONE:
1. Maintain your shoulder
shrug and pinch your
shoulder blades back
(together).
2. Do NOT pull your shoulder
blades back as far as you can.
3. It is important that you do
not lose the shoulder shrug
while you are pinching your
shoulder blades back
1. While you maintain shoulder shrug
and shoulder blade pinch, tuck your
chin toward your throat.
2. Do NOT tuck your chin as far as it
will go.
3. Always do this in order in 3 steps:
Shoulders up, back, chin tuck.
4. Should feel a slight stretch in the
back of your head and neck
5. Hold position 5 seconds, repeat 10
times once every 1-2 hours.
CARDIN & MILLER
CM
P H Y S IC A L T H E R A P Y
Carlisle
290 East Pomfret Street
Carlisle, PA 17013
717-245-0400
Fax: 717-243-5688
Mechanicsburg
156 Cumberland Parkway
Mechanicsburg, PA 17055
717-697-6600
Fax: 717-697-6700
Free
Screening
Coupon
Inside!
News & Notes
P HY S IC A L T HE R A P Y
P HY S IC A L T HE R A P Y
Our Therapists are Experts In:
Neck/Arm Pain, Numbness & Tingling • Headaches
Lower Back & Mid Back Pain • Hip & Knee Pain, Injuries & Arthritis
Shoulder Pain, Bursitis & Tendonitis • (Plantar Fascitis) Heel, Arch, Foot & Ankle Pain
Custom Foot Orthotics • Numbness / Burning in the Toes (balls of the feet)
Diabetic Needs (Custom Inlays & Extra Depth Shoes) • Sports Specific Physical Therapy
Concussion Therapy • Vertigo / Dizziness • Pediatric Disorders • All Orthopedic Injuries / Disorders
Ask Your Physical Therapist…
Direct Access
Ever wonder why …
Your arm hurts and your hand is going numb or
why you keep getting headaches?
Get answers to your questions about pain by emailing any of
our therapists listed below….
Have you ever Wondered … Can I see a
Physical Therapist without a referral from my Doctor?
The answer is YES!
In Pennsylvania, by Law, you can be seen by a Physical
Therapist without a physician referral for the first 30 days.
Carlisle
Steve Miller, Owner, PT, C.Ped: [email protected]
Brian Cardin, Owner, PT, C.Ped: [email protected]
Andrew Zang, DPT, MTC: [email protected]
Matthew Casale, DPT: [email protected]
Amanda Kern, DPT: [email protected]
Mechanicsburg
Robert Gorinski (Clinic Director) DPT, McKenzie certified, C.Ped:
[email protected]
Lucy Edens, DPT: [email protected]
FIND US
Visit Our Website: www.cardinmillerpt.com
Like Us on Facebook! www.facebook.com/CardinandMillerPT
YouTube Channel! www.YouTube.com/user/CardinandMillerPT
Here’s how it works …
1) You hurt your back, foot, etc. and instead of
waiting to “see if it will go away on its own” call Cardin
and Miller to schedule an appointment today so we can
help you get rid of the pain ASAP!
2) When you call Cardin and Miller, our Friendly Staff
will check your insurance benefits to see if your particular
insurance allows Direct Access (Most Do). We will get
you scheduled for an evaluation with us ASAP!
3) During your thorough 1 hour evaluation if we
uncover any reason why you should see your family dr. or
another specialist before seeing us, we will refer/schedule
you with the appropriate professional.
FREE SCREENING COUPON
3 Effective Exercises for Neck
Pain & Headaches
Success Stories
November / December 2013
ANSWERS TO YOUR MOST COMMON
QUESTIONS ABOUT NECK PAIN
Inside This Issue
Why Do I Have Neck Pain and/or Headaches?
➢Muscle Imbalance:
Patients
ENTER TO WIN!
Many times patients report that they feel
stiffness and or burning from the neck across the top of the shoulders or
between the shoulder blades. Also, many patients complain of headaches
that start at the back of the head that can end up behind the eyes in some
folks (this type of headache can vary from an annoyance to migraine
intensity).
$10 GIFT CARD
➢What causes Muscle Imbalance?
Direct Access - See your
therapist without referral
News & Notes
for any past or current patient who
refers a friend or family member
(see Free Screening coupon inside!)
Find the misspelled word in
this newsletter and email it to
[email protected]
for your chance to win a
$50 gift card
to Appalachian
Running Company/
Dutrey’s shoes.
alachia
App
n
nn
Ru
This exercise sequence is meant to be used as a beginner exercise. Most often more
exercises and hands-on manual therapy including neck and back adjustments will need
to be done as well. It is important to remember that if you have had pain for 2 weeks
or more that is not getting better, it will most likely not go away without some help—so
schedule an evaluation with us today!
CM
CARDIN
CARDIN &
& MILLER
MILLER
ny
Exercises
P HY S IC A L T HE R A P Y
in g Co m p
There will be one winner chosen
randomly from all the received entries.
Contest for Past and Present
Cardin & Miller patients only.
a
Usually muscle
imbalances are due to poor sitting posture from sitting for
long periods at work, studying and or sitting in front of
a computer. This causes your back to round making the
muscles between your shoulder blades, the front of your
neck, and across the top of your shoulders too long. This
causes your muscles to spasm up to protect themselves from
lengthening further (which creates the burning and stiffness
that you feel). The rounding of your back during prolonged
sitting also causes your head and chin to “drift” forward
shortening the muscles in the back of the neck. As the muscles in the back
of the head and neck become shortened and too tight, they “squeeze” the
nerve in the back of your head and neck, which causes your headaches.
Continued on page 2
ANSWERS
Call today
Continued from page 1
Why Do I Have Pain and or
Numbness/Tingling in My Arm/Hand?
➢Here are the following reasons why you are
feeling this:
1)Herniated
Disc: Between each
of the neck bones in
your spine there is a
fluid filled disc, that
when normal, provides
cushion and shock
absorption. Herniation
happens when
prolonged poor posture, repetitive motion or injury
causes the fluid inside the disc to “tear thru” the layers
of the disc and push those layers of the disc against a
nerve that starts in your neck and supplies feeling and
strength to your arm and hand. This nerve pressure is
what causes your arm and hand symptoms.
2) Degenerative Disc Disease: This occurs
when some of the fluid in a disc (between the bones of
your neck) is no longer present. This causes the bones
of your neck to be closer together than they should be
which can place pressure on the nerves in your neck.
This usually causes pain and stiffness in your neck, but
if there is enough pressure on the nerve, then the nerve
will carry the pain and or numbness into your arm and
hand.
3)Stenosis: This occurs when the canals where
the nerves travel in the spine around your neck get too
small. This squeezes the nerves and can cause pain,
numbness/tingling in one or both of your arms and
hands.
4)Arthritis: This occurs when the joints of the
Carlisle 717.245-0400
Mechanicsburg 717.697-6600
CM
CARDIN & MILLER
P H Y SIC AL THER A PY
neck are inflamed and can cause extra bone growth
on the bones of your spine (bone spurs). Most of the
time, arthritis pain stays in the neck, but if the arthritis
causes bone spurring that puts pressure on the nerves
around the neck, then this can lead to arm and hand
symptoms.
➢So … How Do I Get Rid of the Neck Pain,
Headaches and Arm Pain/Numbness?
1) Schedule a Physical Therapy Evaluation at
Cardin and Miller Physical Therapy. One of our
expert Physical Therapists will
perform a 1-hour evaluation in
which they will talk to you about
your daily activities that may be
contributing to your pain. During
the evaluation, the therapist will be
measuring your range of motion
and strength as well as performing
special tests that tell us whether
muscle imbalances are the cause
of your pain and headaches or if the pain is due to
another cause.
2) Based on what we find in your evaluation
we will develop a treatment plan, which may include
a combination of neck and mid back adjustments,
massage, strengthening and flexibility exercises to
reverse muscle imbalances. We will teach you how to
achieve and maintain proper posture when driving or
sitting for prolonged periods of time.
3) If during your evaluation, we determine
that you need to have an X-Ray, MRI or see a spinal
surgeon, we will communicate with your physician to
make this happen. Most of the time X-Rays, MRI,
and surgery are NOT needed.
SUCCESS
Call today
Carlisle 717.245-0400
Mechanicsburg 717.697-6600
Patient Success Stories
Don’t take our word for it … see what our patients have to say
In early September 2011, I started experiencing tingling & pain in my left
arm while driving. The symptoms got progressively worse. By the middle of
September I could not drive without pillows bracing and supporting my left arm.
I made an appointment with my family doctor who told me I was “getting old”
and that my problem could be handled by either a shot every month or Physical
Therapy and the doctor suggested I go to Cardin and Miller Physical Therapy
(Thank God). My Physical Therapist, Andy Zang, evaluated me on September
19th and started me on 4 very specific exercises. I had therapy twice a week
at Cardin and Miller and by mid October I was pretty much pain free and was
telling people that Andy, Sarah & the Cardin and Miller Staff had “fixed” me.
The tingling was gone and I was back to “my normal”. I am in better overall
shape than I have been in years and my neck and arm do not bother me at all. – THANK YOU Andy, Sarah & Staff at Cardin & Miller — John M.
Prior to coming to Cardin and Miller Physical Therapy, I suffered with pins
and needles, numbness and limited mobility in my upper back, neck and arms.
After several sessions with Andy, the majority of symptoms had been relieved
and I could return to activities with little discomfort. During each session, I
was able to see Andy and he explained the purpose of each exercise and
answered any questions I had about my treatment. Now I’m mostly symptom
free and will continue my exercises at home. THANK YOU to Andy and the
— Alison M.
Cardin and Miller team. This is my second time as a patient at Cardin and Miller Physical Therapy
and this time, just like the first, it was a great experience. The staff is prompt,
courteous, and fun to work with. At Cardin and Miller, you don’t feel like a
patient, you feel more like part of a family because even though you are there
for treatment, they treat you like one of their own. When you first start they do
a careful assessment to determine just how severe your injury may be, and they
develop a training program that fits you. I would definitely recommend Cardin
— David N.
and Miller Physical Therapy to other people who need it.
CM
CARDIN & MILLER
PH YSIC AL T H ERAPY
FREE
Screening!
Call 245-0400 or
697-6600 Today
to schedule your free
screening with Cardin and
Miller Physical Therapy
for Neck Pain, Arm Pain /
Numbness, and or Headaches.
Bring this coupon with you to
your free screen.
This free screening coupon
may be transferred to your
friends and family.
NEWS & Notes
www.CardinMillerPT.com
Mechanicsburg
156 Cumberland Parkway
Mechanicsburg, PA 17055
717-697-6600
$10 GIFT CARD for any past or
current patient who refers a
freind or family member …
just write your full name below and when we
receive it, we will send you the gift card as a
THANK YOU!
Carlisle 717.245-0400
Mechanicsburg 717.697-6600
CM
CARDIN & MILLER
PH YSIC AL T H ERAPY
from the Cardin & Miller family
Andy Zang DPT, MTC …
Sarah Rumberger PTA …
Josh Beck & Rick Fesler …
Congratulations X 2 to Andy and
his wife who celebrated the birth of
their daughter Alivia 6 months ago
AND Andy just completed his manual
therapy certification (this means
that he is an expert in the area of
neck and back therapy including
adjustments and other hands-on
techniques)
Is Pregnant!! Sarah and her husband
Corey are expecting a baby boy this
January. STAY TUNED …
Of Appalachian Running Company are
2 of the top Amateur triathletes in
the world.
Amanda Kern DPT …
Breana Miller …
Congratulations!!! Amanda got
engaged on July 13, 2013!
Is the proud new mother of Grayson
Tyler Miller born July 3rd 7lbs 5.5oz,
21.5 in long.
Expires December 31, 2013.
Carlisle
290 East Pomfret Street
Carlisle, PA 17013
717-245-0400
Call today
Amanda Conlan PTA, C.Ped
…
Congratulations!!! In May, Amanda
passed her exam and is now a
Certified Pedorthist.
Andrew Zang DPT, MTC
Doctor of Physical Therapy
Manual Therapy Certified
Andrew joined the Cardin & Miller staff in 2008. He
is a graduate of the University of Pittsburgh’s Doctor
of Physical Therapy program. While at Pitt, Andrew
received extensive orthopedic and manual therapy
training. Andy competed in track and field and crosscountry for the Panthers. He was named to the Big East
Conference Academic All-Star team in each of his four
years.
Andrew’s primary area of interest is in treating patients
with low back and neck issues. While at Cardin and
Miller Physical Therapy, he has become the primary
Both Josh and Rick finished in the
top 10 at the Lake Placid Ironman
Championship earlier this year
and both competed in the Ironman
Championship in Kona Hawaii
Therapist Spotlight
therapist for treating patients with vestibular disorders
(dizziness). In 2012/13, Andrew completed his Manual
Therapy Certification with Evidence in Motion, a
Physical Therapy driven program to further evidencebased clinical practice.
Andrew grew up in Central PA and was a 2001 graduate
of Cumberland Valley. He and his wife, Allison, reside
in Mechanicsburg and in April of 2013, they welcomed
a baby girl, Alivia. In his free time, Andrew enjoys
running and weight training.